Recommendation ID
DG46/01
Question

Further research is recommended on:

  • The accuracy of EarlyCDT Lung, and the validity of the risk models used to combine EarlyCDT Lung results with the Brock and the Herder risk models.
  • The impact of EarlyCDT Lung on clinical management decisions.

A large retrospective audit is recommended to:

  • Understand how patient and nodule characteristics impact on malignancy prevalence and disease progression.
  • Understand current practice regarding clinical management of people with intermediate-risk lung nodules.
  • Determine the clinical consequences of CT surveillance, including the likelihood of disease progression during CT surveillance.
  • Determine the likelihood and impact of unnecessary biopsy or resection of indolent and benign nodules
  • If existing data on these points is limited or not routinely collected, a prospective data collection should be undertaken to obtain it.
Any explanatory notes
(if applicable)

Source guidance details

Comes from guidance
EarlyCDT Lung for assessing risk of lung cancer in solid lung nodules
Number
DG46
Date issued
February 2022

Other details

Is this a recommendation for the use of a technology only in the context of research? No  
Is it a recommendation that suggests collection of data or the establishment of a register?   No  
Last Reviewed 28/02/2022